↓ Read PDF
01 · ABSTRACT

Abstract

Large-scale PreK programs for children from low-income families are frequently justified on findings from two single-site randomized controlled trials (RCTs) - the Perry Preschool Project and the Abecedarian Project. These programs both documented cognitive benefits during PreK participation and later reductions in grade retention and special education placement as well as multiple benefits that extended into adulthood. This paper provides a description of a statewide program in the United States that adopted many key components of the Abecedarian Project and engaged its scientific leadership in a partnership of research and program implementation. We describe the program, its scale-up, and the creation of a novel same-school longitudinal comparison group from four successive cohorts of children from low-income families totaling 15,554 public pre-K families (PPK) and 48,985 classroom peers from low-income matched families who had No Public Pre-K (NPPK). Hierarchical linear modeling revealed that PPK compared to NPPK was associated with significantly higher 3rd grade academic achievement scores in four domains (language, math, science, and social studies) as well as markedly lower rates of grade retention and special education placement, indicators of improved school health. These results were essentially replicated in each of the four successive cohorts. Further sensitivity analyses confirmed significant positive and enduring benefits for boys and girls as well as children whose parents designated their child Black, White, or Hispanic. Features of the successful implementation are identified as guideposts for other large-scale programs seeking to achieve measurable and enduring PPK benefits.

↓ Read PDF
02 · PUBLICATION RECORD

Article details

JournalMedical Research Archives
IssueVol 13 No 5 (2025): Vol.13, Issue 5, May 2025
SectionResearch Articles
Published30 May 2025
DOI10.18103/mra.v13i5.6534
ISSN2375-1924
03 · RIGHTS & REUSE

Rights & reuse

This article is published under a Creative Commons Attribution License (CC BY 3.0) and may be shared or distributed by anyone as long as attribution is given to the journal.

Authors & affiliations

CR

Craig T. Ramey, PhD

Fralin Biomedical Research Institute at VTC, Virginia Tech; Roanoke, VA, USA 2 Riverside Circle Roanoke, Virginia, 24016

BS

Billy Ray Stokes, PhD

Civitan International Research Center, University of Alabama at Birmingham, Birmingham, Alabama, USA

GA

Gary J. Asmus, PhD

Cecil J. Picard Center for Child Development and Lifelong Learning, University of Louisiana, Lafayette, Louisiana, USA

MH

Maria Stack Hankey, PhD

Fralin Biomedical Research Institute at VTC, Virginia Tech; Roanoke, VA, USA 2 Riverside Circle Roanoke, Virginia, 24016; New Affiliation: Carilion Clinic, Health Analytics Research Team, 213 S. Jefferson Street, Suite 1502, Roanoke, Virginia 24011, USA

SR

Sharon Landesman Ramey, PhD

Fralin Biomedical Research Institute at VTC, Virginia Tech; Roanoke, VA, USA 2 Riverside Circle Roanoke, Virginia, 24016

Medical Research Archives

Submit your own article

Register as an author to reserve your spot in the next issue of the Medical Research Archives.

Start your submission  ↗